Clark V Monahan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH002385 Issued in FL

Practice address

419 Anastasia Blvd.
St. Augustine, FL 32080-4508

Phone

(904) 824-8353

Fax

(904) 824-5705

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Augustine Physicians Associates Inc.

  dba Monahan Chiropractic

  • Chiropractor
  • St Augustine, FL
  • NPI 1134312325
  NPD (past) Authorized official
• St Augustine Physicians Associates, Inc.

  dba Monahan Chiropractic Medical Clinics

  • Chiropractor
  • Palatka, FL
  • NPI 1083023204
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1982622593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 ANASTASIA BLVD.",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320804508",
            "telephone_number": "904-824-8353",
            "fax_number": "904-824-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ANASTASIA BLVD.",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320804508",
            "telephone_number": "904-824-8353",
            "fax_number": "904-824-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "CLARK",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH002385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050018600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "89830",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Moerman, OTR
• Shawna Moinipour, O.D.
• Carolyn Moldovanyi, LMHC, LMFT
• Brenda Molina-Baez
• Christy Louise Monaghan, PH.D.
• Monarch Mobile Physical Therapy LLC
• Danielle Lane Montana, L.C.S.W.
• Idalia Montanez-Miranda, PSY.D.
• Montgomery and Associates MD
• Daniele J Montgomery, MD

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.